1982 Volume 24 Issue 3 Pages 460-464_1
Since intussusception is a common complication of Peutz-Jeghers polyps, laparotomy should be recommended to remove them. However, many of them will not be palpable or discernible during laparotomy. Operative endoscopy was employed for removing polyps of the small intestine in a 22-year-old female who was previously diagnosed to have Peutz-Jeghers syndrome. Using a newly designed enteroscope with two channels (SIF-2C, Olympus), four large polyps over 1 cm in size were romoved from the ileum and jejunum with safety. Endoscopic polypectomy has become one of the rapidly advancing fields and widely employing methods in gastrointestinal endoscopy since the introduction of endoscopic electrosurgical techniques. Although the endoscopic removal of polys arising from the esophagus, stomach, duodenum, colon and rectum can be performed with ease and safety, polypectomy for polyps of the small intestine has never been performed because of technical difficulties in handling an endoscope in the small intestine. Two-channel enteroscope resolved this problem. Therefore, it is emphasized that double channel enteroscope makes the polypectomy in the small intestine possible and the indication of enteroscopy will be extended more widely.
